title: [Retinoblastoma: multidisciplinary treatment in a group of 32 patients].
abstract: Thirty-two children with retinoblastoma (RTB) were treated in our oncology unit between September 1981 and October 1989. There were 18 unilateral RTB and 14 bilateral. The median age at diagnosis was 24 months. Leukocoria was the most common sign of presentation (66%). All patients were treated with a protocol based on Reese-Ellsworth classification and the anatomo-clinic extension. Thirty patients were enucleated (7 bilaterally), 14 of which needed coadjuvant chemotherapy and 6 orbital radiotherapy. Two patients died, one from each group. The disease-free survival rate is 90.6% with a medium follow-up of 43.5 months. Seven children went blind because of bilateral enucleation and seven present facial deformity caused by radiotherapy. We underline the importance of improving the effectiveness of conservative treatment in order to reduce the number of enucleation.
authors.affiliation: Unidad Oncología Pediátrica, Hospital Infantil La Fe, Valencia.
authors.forename: M J
authors.initials: MJ
authors.lastname: Tasso Cereceda
authors.forename: J
authors.initials: J
authors.lastname: Ferris Tortajada
authors.forename: A
authors.initials: A
authors.lastname: Cañete Nieto
authors.forename: M
authors.initials: M
authors.lastname: Hernández Martí
authors.forename: A
authors.initials: A
authors.lastname: Verdeguer Miralles
authors.forename: C
authors.initials: C
authors.lastname: Esquembre Menor
authors.forename: V
authors.initials: V
authors.lastname: Castel Sánchez
mesh_terms: D002675:Child, Preschool; D003131:Combined Modality Therapy; D015353:Eye Enucleation; D005134:Eye Neoplasms / Q000601:surgery* / Q000628:therapy; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D012175:Retinoblastoma / Q000601:surgery* / Q000628:therapy
vernacular_title: Retinoblastoma: tratamiento multidisciplinario en una serie de 32 pacientes.